| NPI | 1598884306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: CA 410472) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 10134) |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-07-08 |